ClinicalTrials.gg
Active, not recruitingNCT05283148Updated Sep 23, 2026Results posted

Sickle Cell Disease (SCD) Bone Pain Study

An interventional study of Dual-energy X-ray absorptiometry and Vertebral fracture analysis in Sickle Cell Disease, Sickle Cell Anemia and Low Bone Density, sponsored by University of California, Davis. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by University of California, Davis · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
53
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 733 studies in Anemia, Sickle Cell with a site in United States — 135 open to participants now, 186 under way, 16 of them phase 3. Anemia, Sickle Cell · United States.

Enrollment
186th of 559
53 · median 31
Started
2022
with 40 others
No phase
165 of 733
36 open now
Primary completion
2024-04
later than 9 of 182 live
Registered
581st of 733
by date

Among the 733 studies in Anemia, Sickle Cell with a site in United States, this one is the 186th largest by enrollment of the 559 interventional ones, is one of 41 that started in 2022, is one of 165 with no phase, reaches primary completion later than 9 of the 182 other live ones, and was the 581st registered.

By phase

733 studies; the count open now beside each. This study's row is marked.

Observational168 · 34 open
No phasethis study165 · 36 open
Phase 2161 · 23 open
Phase 198 · 13 open
Phase 1/260 · 13 open
Phase 350 · 10 open
Phase 420 · 4 open
Phase 2/37 · 1 open
Other kind4 · 1 open

By the year they started

First in 1984; this study’s year is marked. 41 started in 2022.

Size and results

Median enrollment 31 across the 559 interventional studies, 100 across the 168 observational. Of the 506 that completed or were terminated, 207 (41%) have results posted.

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02

Study summary

A prospective study to determine how low bone mineral density and/or vertebral compression fractures associate with pain in adults with sickle cell disease

Read the detailed description

The investigators hypothesize that adults with sickle cell disease (SCD) and low bone density and/or vertebral compression fractures on a dual X-ray absorptiometry (DXA) scan (adjusted for age, sex, SCD genotype, relevant labs, presence of osteonecrosis, and SCD-modifying therapies) will report more severe pain than those with normal bone density or no vertebral fractures. The Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me) is a validated patient-reported outcome measure of physical, mental, and social health in adults with SCD. This cross-sectional observational study involves obtaining a baseline DXA scan, vertebral fracture analysis (VFA) and pain assessment using ASCQ-Me pain impact scores. The investigators plan to recruit 50 adults with SCD followed at University of California Davis Medical Center between Nov 2022- Dec 2023 and anticipate enrolling up to 4 adults with SCD per month. The study endpoints are listed below:

  • To determine the association between bone density Z-scores and ASCQ-Me pain impact scores in a prospective cohort of adults with SCD
  • To study the association between Spine Deformity Index scores (SDI, a proxy for vertebral fracture analysis) and ASCQ-Me pain impact scores in a prospective cohort of adults with SCD
  • To assess the correlation between baseline hematological and biochemical laboratory parameters (including bone biomarkers), bone density, and/or vertebral fractures in a prospective cohort of adults with SCD

The investigators' goal is to complete primary data analysis by Mar 2024. As an exploratory endpoint, 1cc of serum and 5cc of urine will be collected from each study participant once (at baseline), after an overnight fast, for bone biomarker analyses.

03

Conditions studied

  • Sickle Cell Disease
  • Sickle Cell Anemia
  • Low Bone Density
  • Osteoporosis
  • Osteopenia
  • Vertebral Fracture
  • Vertebral Compression
  • Osteonecrosis
  • Ischemic Necrosis
  • Avascular Necrosis

Keywords

  • sickle cell disease
  • sickle cell anemia
  • low bone density
  • osteoporosis
  • osteopenia
  • low bone mass
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18-80 years with SCD (any genotype, confirmed by electrophoresis or high performance liquid chromatography)
  • Ability to provide written
  • Ability to lay on a DXA scanner
  • Negative urine pregnancy test for women of at study entry

Exclusion criteria

Exclusion Criteria:

  • Pregnant women
  • Adults unable to consent
  • Individuals who are not yet adults (infants, children, teenagers)
  • Prisoners
  • Hospitalizations (any cause) within 2 weeks of study entry
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
53 participants (actual)

Study arms

  • Other
    SCD Bone Pain Study Cohort

    Prospective cohort of 50 adults with sickle cell disease (SCD) undergoing research DXA scan to assess bone mineral density and thoracolumbar morphometry for vertebral fracture analysis

    Other: Dual-energy X-ray absorptiometry · Other: Vertebral fracture analysis · Other: Adult Sickle Cell Quality of Life Measurement System pain impact questionnaire

Interventions

  • OtherDual-energy X-ray absorptiometry

    Measure bone mineral density at the lumbar spine, left total hip, left forearm, and whole body

    Also known as: DXA scan

  • OtherVertebral fracture analysis

    Obtain thoracolumbar morphometry in DXA scan, then determine presence and severity of vertebral compression fractures by VFA

    Also known as: VFA

  • OtherAdult Sickle Cell Quality of Life Measurement System pain impact questionnaire

    Calculate patient-reported total pain scores to determine the pain phenotype of each study participant

    Also known as: ASCQ-Me Pain scores

06

What researchers measure

Primary outcomes

  1. Lumbar Spine Bone Mineral Density

    Areal bone mineral density of the lumbar spine measured by dual-energy X-ray absorptiometry (DXA) scan and reported in grams per square centimeter.

    Time frame: Baseline

  2. Lumbar Spine Bone Mineral Density-Z-scores

    Number of standard deviations between measured lumbar spine bone mineral density (g/cm2) for each participant and mean lumbar spine bone mineral density (g/cm2) of the reference population. A Z-score of 0 represents the mean of the reference population. A negative Z-score means the measured bone mineral density values are lower (worse) the reference mean, while positive Z-scores mean they are above/higher. Bone mineral density Z-scores ≤ -2 indicates low bone density.

    Time frame: Baseline

  3. Total Hip Bone Mineral Density (BMD)

    Areal bone mineral density of the total hip measured by dual-energy X-ray absorptiometry (DXA) scan and reported in grams per square centimeter.

    Time frame: Baseline

  4. Total Hip Bone Mineral Density-Z-scores

    Number of standard deviations between measured total hip bone mineral density (g/cm2) for each participant and mean total hip bone mineral density (g/cm2) of the reference population. A Z-score of 0 represents the mean of the reference population. A negative Z-score means the measured bone mineral density values are lower (worse) the reference mean, while positive Z-scores mean they are above/higher. Bone mineral density Z-scores ≤ -2 indicates low bone density.

    Time frame: At enrollment

  5. Femoral Neck Bone Mineral Density (BMD)

    Areal bone mineral density of the femoral neck measured by dual-energy X-ray absorptiometry (DXA) scan and reported in grams per square centimeter.

    Time frame: Baseline

  6. Femoral Neck Bone Mineral Density Z-scores

    Number of standard deviations between measured lumbar spine bone mineral density (g/cm2) for each participant and mean lumbar spine bone mineral density (g/cm2) of the reference population. A Z-score of 0 represents the mean of the reference population. A negative Z-score means the measured bone mineral density values are lower (worse) the reference mean, while positive Z-scores mean they are above/higher. Bone mineral density Z-scores ≤ -2 indicates low bone density.

    Time frame: Baseline

  7. Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me) Pain Impact T-scores

    Patient-reported outcome measure of pain impact in the preceding 7 days before bone density measurements. The Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me) pain impact T-scores range from about 30-100. The ASCQ-Me pain impact T-score has standardized mean T-score of 50 and standard deviation of 10, which were derived from a reference population of ambulatory adult with sickle cell disease across the United States. ASCQ-Me pain impact T-scores less than 50 are lower/worse than the reference mean (more severe pain impact), while pain impact T-scores greater than 50 are above/better than the reference mean (less severe pain impact)

    Time frame: Baseline

Secondary outcomes

  1. Spinal Deformity Index

    The spinal deformity index (SDI) is a semi-quantitative measure of number and severity of vertebral fractures observed on lateral spine X-rays of the thoracolumbar spine. To calculate the SDI, vertebrae are assigned a score as follows: 0 (no fracture), 1 (mild fracture), 2 (moderate fracture), and 3 (severe fracture). The total SDI is the summation of all T12-L4 vertebrae measured on the lateral spine X-rays. Minimum SDI =0 and Maximum SDI=15. Higher scores mean increased (worse) fracture burden, lower scores mean decreased (less) fracture burden.

    Time frame: Baseline

07

Results

Posted Aug 24, 2025
Limitations and caveats
This prospective study on the association between bone density and pain in SCD is limited by its cross-sectional study design and small sample size. We can only report associations between the predictor variables and outcomes of interest, not causality. Since joint imaging was only done based on symptoms, we may have missed participants with asymptomatic osteonecrosis. Lastly, DXA scans are widely used to clinically assess severe low BMD but cannot differentiate trabecular vs cortical bone loss.

Participant flow

One hundred and twenty-eight unique adults (age 18 years and older) with SCD of any genotype seen in the Adult Sickle Cell clinic at UCD's Comprehensive Cancer Center between 2022-2023 were eligible to participate in the SCD Bone Pain study.

Participant flow — Overall Study
MilestoneSCD Bone Pain Study Cohort
Started53
Completed53
Not completed0

Outcome measures

PrimaryLumbar Spine Bone Mineral Density

Areal bone mineral density of the lumbar spine measured by dual-energy X-ray absorptiometry (DXA) scan and reported in grams per square centimeter.

Time frame:
Baseline
Reported as:
Median · g/cm2
Lumbar Spine Bone Mineral Density
g/cm2Group AGroup B
Lumbar Spine Bone Mineral Density0.97 (0.62 to 1.31)1.0 (0.72 to 1.67)
Statistical analysis
  • Group A vs Group B · Wilcoxon rank-sum test (two-sided) · p = 0.321 (A p-value \< 0.05 was considered statistically significant.)
PrimaryLumbar Spine Bone Mineral Density-Z-scores

Number of standard deviations between measured lumbar spine bone mineral density (g/cm2) for each participant and mean lumbar spine bone mineral density (g/cm2) of the reference population. A Z-score of 0 represents the mean of the reference population. A negative Z-score means the measured bone mineral density values are lower (worse) the reference mean, while positive Z-scores mean they are above/higher. Bone mineral density Z-scores ≤ -2 indicates low bone density.

Time frame:
Baseline
Reported as:
Median · Z-score
Lumbar Spine Bone Mineral Density-Z-scores
Z-scoreGroup AGroup B
Lumbar Spine Bone Mineral Density-Z-scores-1.35 (-4.40 to 1.60)-1.60 (-4.30 to 4.30)
Statistical analysis
  • Group A vs Group B · Welch two sample t-test · p = 0.714 (A p-value \< 0.05 was considered statistically significant.)
PrimaryTotal Hip Bone Mineral Density (BMD)

Areal bone mineral density of the total hip measured by dual-energy X-ray absorptiometry (DXA) scan and reported in grams per square centimeter.

Time frame:
Baseline
Reported as:
Median · g/cm2
Total Hip Bone Mineral Density (BMD)
g/cm2Group AGroup B
Total Hip Bone Mineral Density (BMD)0.90 (0.66 to 1.34)1.03 (0.67 to 1.76)
Statistical analysis
  • Group A vs Group B · Wilcoxon rank-sum test (two-sided) · p = 0.09 (p-value \< 0.05 was considered statistically significant.)
PrimaryTotal Hip Bone Mineral Density-Z-scores

Number of standard deviations between measured total hip bone mineral density (g/cm2) for each participant and mean total hip bone mineral density (g/cm2) of the reference population. A Z-score of 0 represents the mean of the reference population. A negative Z-score means the measured bone mineral density values are lower (worse) the reference mean, while positive Z-scores mean they are above/higher. Bone mineral density Z-scores ≤ -2 indicates low bone density.

Time frame:
At enrollment
Reported as:
Median · Z-score
Total Hip Bone Mineral Density-Z-scores
Z-scoreGroup AGroup B
Total Hip Bone Mineral Density-Z-scores-0.75 (-2.30 to 2.00)-0.5 (-2.7 to 3.5)
Statistical analysis
  • Group A vs Group B · Welch two sample t-test (two sided) · p = 0.604 (A p-value \< 0.05 was considered statistically significant.)
PrimaryFemoral Neck Bone Mineral Density (BMD)

Areal bone mineral density of the femoral neck measured by dual-energy X-ray absorptiometry (DXA) scan and reported in grams per square centimeter.

Time frame:
Baseline
Reported as:
Median · g/cm2
Femoral Neck Bone Mineral Density (BMD)
g/cm2Group AGroup B
Femoral Neck Bone Mineral Density (BMD)0.77 (0.53 to 1.30)0.94 (0.63 to 1.68)
Statistical analysis
  • Group A vs Group B · Wilcoxon rank-sum test (two-sided) · p = 0.013 (A p-value \< 0.05 was considered statistically significant.)
PrimaryFemoral Neck Bone Mineral Density Z-scores

Number of standard deviations between measured lumbar spine bone mineral density (g/cm2) for each participant and mean lumbar spine bone mineral density (g/cm2) of the reference population. A Z-score of 0 represents the mean of the reference population. A negative Z-score means the measured bone mineral density values are lower (worse) the reference mean, while positive Z-scores mean they are above/higher. Bone mineral density Z-scores ≤ -2 indicates low bone density.

Time frame:
Baseline
Reported as:
Median · Z-score
Femoral Neck Bone Mineral Density Z-scores
Z-scoreGroup AGroup B
Femoral Neck Bone Mineral Density Z-scores-0.95 (-2.7 to 2.4)-0.60 (-2.3 to 4.0)
Statistical analysis
  • Group A vs Group B · Welch two sample t-test · p = 0.166 (A p-value \< 0.05 was considered statistically significant.)
PrimaryAdult Sickle Cell Quality of Life Measurement System (ASCQ-Me) Pain Impact T-scores

Patient-reported outcome measure of pain impact in the preceding 7 days before bone density measurements. The Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me) pain impact T-scores range from about 30-100. The ASCQ-Me pain impact T-score has standardized mean T-score of 50 and standard deviation of 10, which were derived from a reference population of ambulatory adult with sickle cell disease across the United States. ASCQ-Me pain impact T-scores less than 50 are lower/worse than the reference mean (more severe pain impact), while pain impact T-scores greater than 50 are above/better than the reference mean (less severe pain impact)

Time frame:
Baseline
Reported as:
Median · T-score
Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me) Pain Impact T-scores
T-scoreGroup AGroup B
Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me) Pain Impact T-scores47.1 (42.4 to 52.8)52.4 (45.3 to 56.5)
Statistical analysis
  • Group A vs Group B · Welch two sample t-test (two sided) · p = 0.23 (A p-value \< 0.05 was considered statistically significant.)
SecondarySpinal Deformity Index

The spinal deformity index (SDI) is a semi-quantitative measure of number and severity of vertebral fractures observed on lateral spine X-rays of the thoracolumbar spine. To calculate the SDI, vertebrae are assigned a score as follows: 0 (no fracture), 1 (mild fracture), 2 (moderate fracture), and 3 (severe fracture). The total SDI is the summation of all T12-L4 vertebrae measured on the lateral spine X-rays. Minimum SDI =0 and Maximum SDI=15. Higher scores mean increased (worse) fracture burden, lower scores mean decreased (less) fracture burden.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Spinal Deformity Index
score on a scaleGroup AGroup B
Spinal Deformity Index2.00 ± 2.713.13 ± 3.98

Adverse events

Collected over 13 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SCD Bone Pain Study Cohort0/53 (0%)0/53 (0%)0/53 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(Years)SCD Bone Pain Study Cohort
Median36 (20 to 67)
Sex: Female, Male
Sex: Female, Male(Participants)SCD Bone Pain Study Cohort
Female34
Male19
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)SCD Bone Pain Study Cohort
Hispanic or Latino2
Not Hispanic or Latino51
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)SCD Bone Pain Study Cohort
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American50
White1
More than one race2
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)SCD Bone Pain Study Cohort
United States53
Height
Height(cm)SCD Bone Pain Study Cohort
Median172 (152 to 194)
Body mass index (BMI)
Body mass index (BMI)(kg/m2)SCD Bone Pain Study Cohort
Median24.6 (18.7 to 39.9)
Sickle cell disease (SCD) genotype
Sickle cell disease (SCD) genotype(Participants)SCD Bone Pain Study Cohort
Hb SS30
Hb SC15
Hb SB05
Hb SB+2
Hb SD1

1 further baseline measures are reported on the registry.

08

Study locations

1 site
09

References and documents

Publications

  • Adesina OO, Voutsinas J, Wu QV, Teos LY, Rokni M, Nalbant H, Nardo L, Wun T, Zemel B. Low bone mineral density and pain impact in adults with sickle cell disease. Blood Adv. 2026 Feb 10;10(3):748-758. doi: 10.1182/bloodadvances.2025015957. PubMed 41135058 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2022 to primary completion in Apr 2024, 17 months.

Results were first posted in Aug 2025, 1 year 3 months after primary completion.

Of 165 non-industry interventional studies with no phase under Anemia, Sickle Cell, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 54. This study's 17 months is below that.

Counting every sponsor, half of 173 studies reached it within 28 months; a quarter within 15 and three quarters within 49.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 7, 2022
First posted
Mar 16, 2022
StartActual
Nov 3, 2022
Primary completionActual
Apr 30, 2024
CompletionEst.
Dec 31, 2027
Results first posted
Aug 24, 2025
Last update
Sep 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05283148
Collaborators
National Heart, Lung, and Blood Institute (NHLBI), Doris Duke Charitable Foundation
Responsible party
Sponsor
First posted
Mar 16, 2022
Start date
Nov 3, 2022
Primary completion
Apr 30, 2024
Completion
Dec 31, 2027 (estimated)
Results posted
Aug 24, 2025
Last update
Sep 23, 2026

Study contacts

Oyebimpe O Adesina, MD, MS
principal investigator · UC Davis School of Medicine

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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